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Open Prostate Removal Through The Bladder

Georgia rates for HCPCS 55821

Removes the inner, enlarged part of the prostate by opening the bladder through an incision in the lower abdomen, relieving the blockage that a large prostate causes to the flow of urine. The outer shell of the gland is left behind. It is chosen when the gland is too large to be cleared out with an instrument passed along the urine channel.

Rates data updated July 2026.

How much does Open Prostate Removal Through The Bladder cost?

$4,266

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $4,266 for this service. Most negotiated rates run $1,995 to $5,754.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,230 to $9,550Professionalmedian $1,000 · 10th to 90th $776 to $3,311
$1K$2K$5K$10Kfacility $4,365professional $1,000

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$4,570.88
Typical High
$7,943.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,890.45
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$3,311.31
Kaiser Permanente
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Kaiser Permanente
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,951.21
Typical High
$7,585.78

Where Georgia sits

The same service costs 15.1 times more in Maine than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Georgia· 21st of 50

$4,266

ME $13,183ND $871

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.